文献类型：期刊文献

中文题名：史正刚三期论治儿童抽动障碍经验

英文题名：Shi Zhenggang’s experience in treating tic disorder by three stages

作者：冯鹏[1];何岳珍[2];孙治前[2];王梓安[2];尚菁[3];史正刚[3]

第一作者：冯鹏

机构：[1]河西学院医学院针灸推拿教研室,甘肃张掖734000;[2]甘肃中医药大学,兰州730000;[3]甘肃中医药大学中医临床学院儿科教研室,兰州730000

第一机构：河西学院医学院针灸推拿教研室,甘肃张掖734000

年份：2023

卷号：15

期号：1

起止页码：11

中文期刊名：中国中西医结合儿科学

外文期刊名：Chinese Pediatrics of Integrated Traditional and Western Medicine

基金：国家自然基金地区项目(81960886);甘肃省科技计划资助项目(22JR11RG221);河西学院博士科研启动经费项目(KYQD2022015);甘肃省高等学校创新基金项目(2020A-081);甘肃省重点研发计划项目(20YF3FA041);甘肃中医药大学“岐黄英才”博士研究生导师开放基金(ZYXKBD-202204)。

语种：中文

中文关键词：抽动障碍;分期论治;临证经验

外文关键词：Tic disorder;Treatment by stages;Clinical experience

摘要：抽动障碍是发生在儿童时期常见的神经精神疾病,临床表现为难以自控的、无规律的肢体抽动和(或)发声性抽动,由于抽动症状的可听、可视,易引起患儿多种心理、学习及行为问题,给家庭和社会带来了巨大的经济压力和负担。本病的主要病因是脑内神经递质功能紊乱、微量元素失衡、神经炎症,其发生发展、复发与外感、饮食、情志密切相关。史正刚教授是甘肃省名中医,长期致力于小儿心肝系疾病的中医药防治研究,史正刚教授在长期的临床中总结认为痰扰瘀阻风动是本病的关键所在,又因为抽动障碍的病程较长,不同阶段有各自的致病特点,提出以肝为中心辨治抽动障碍,三期论治的观点,即初期从肺论治,宣肺清肝,祛外风以防抽;急性期从心论治,清心平肝,息内风以止抽;缓解期从脾论治,运脾疏肝,消痰瘀以除抽,体现了中医治疗本病个性化的特点,对指导抽动障碍的辨证治疗有一定的指导和参考意义。
Tic disorders(TD)is a common neuropsychiatric disorder occurring in childhood.The clinical manifestations are uncontrollable and irregular limb tics and/or vocal tics.The audible and visual tic symptoms can cause a variety of psychological,learning and behavioral problems in children,bringing enormous economic pressure and burden to the family and society.The main etiology of this disease is neurotransmitter dysfunction in the brain,trace element imbalance and neuroinflammation,and its occurrence,development and recurrence are closely related to exogenous factors,diet and emotion.Professor Shi Zhenggang is a famous traditional Chinese medicine doctor in Gansu Province.He has long been devoted to the prevention and treatment of children’s heart and liver diseases with traditional Chinese medicine.Professor Shi Zhenggang believes that phlegm obstructing,blood stasis and predominate wind causing motion is the key to tic disorder.Also,because TD has a long course of disease and has its own pathogenic characteristics at different stages,Prof.Shi suggests that TD should be treated with liver as the center and puts forward the theory of three-stage treatment:treating from lung in the initial stage,promoting lung and clearing liver,and removing external wind to prevent tic;treating from heart in the acute period,clearing the heart and calming the liver,and calming endogenous wind to stop tic;treating from spleen in the remission period,mobilizing the spleen and soothing the liver,and eliminating phlegm and blood stasis to eliminate tic.This theory reflects the individualized characteristics of TCM treatment for this disease,and has reference and significance in guiding the treatment of TD.